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All Journal International Journal of Management, Economic, Business and Accounting Jurnal Riset Manajemen, Bisnis, Akuntansi dan Ekonomi (JAMBAK)
Sri Widiyastuti
Universitas Pancasila
Humanities Economics, Econometrics & Finance Social Sciences

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Pengaruh Model Komunikasi Diamond Head Drill, Easier Leadership, dan Insentif terhadap Kinerja dan Daya Saing Rumah Sakit: Systematic Literature Review Bambang Sumardi; Sri Widiyastuti; Derriawan
Jurnal Riset Manajemen, Bisnis, Akuntansi dan Ekonomi Vol 5 No 1 (2026): Jurnal Riset Manajemen, Bisnis, Akuntansi dan Ekonomi (JAMBAK)
Publisher : PT. Berkah Digital Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58468/jambak.v5i1.235

Abstract

This study aims to examine the influence of the Diamond Head Drill communication model, easier leadership style, and incentives on hospital performance and their implications for competitiveness through a Systematic Literature Review (SLR) approach. The study was conducted by searching six internationally reputable databases (Scopus, PubMed, Web of Science, ScienceDirect, Taylor & Francis) and Google Scholar for local sources. A total of 21 selected articles were analyzed thematically. The synthesis shows that structured communication (Diamond debrief model), adaptive/transformational leadership, and equitably designed incentives are consistently associated with improved patient safety, team effectiveness, operational efficiency, and staff retention. The integration of these three areas is correlated with better organizational performance and can strengthen hospital competitiveness. Further mixed-methods research is needed to confirm the causal mechanisms and test the integrative model across hospital types and regions. ABSTRAK Penelitian ini bertujuan untuk mengkaji pengaruh model komunikasi Diamond Head Drill, gaya kepemimpinan easier leadership, dan insentif terhadap kinerja rumah sakit serta implikasinya terhadap daya saing melalui pendekatan Systematic Literature Review (SLR). Kajian dilakukan dengan menelusuri enam basis data bereputasi internasional (Scopus, PubMed, Web of Science, ScienceDirect, Taylor & Francis) dan Google Scholar untuk sumber lokal. Sebanyak 21 artikel terpilih dianalisis secara tematik. Sintesis menunjukkan bahwa komunikasi terstruktur (model debrief Diamond), kepemimpinan adaptif/transformasional, dan insentif yang dirancang dengan adil secara konsisten berasosiasi dengan peningkatan keselamatan pasien, efektivitas tim, efisiensi operasional, dan retensi staf. Integrasi ketiga area tersebut berkorelasi dengan kinerja organisasi yang lebih baik dan dapat memperkuat daya saing rumah sakit. Penelitian lanjutan mixed-methods diperlukan untuk mengonfirmasi mekanisme kausal dan menguji model integratif lintas tipe rumah sakit dan wilayah.
Diamond Head Drill Communication, Easier Leadership, and Incentives as Drivers of Hospital Competitiveness: The Mediating Role of Performance in West Java Public Hospitals Bambang Sumardi; Sri Widiyastuti; Derriawan
International Journal of Management, Economic, Business and Accounting Vol. 5 No. 1 (2026): International Journal of Management, Economic, Business and Accounting (IJMEBA)
Publisher : PT. Berkah Digital Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58468/ijmeba.v5i1.225

Abstract

Purpose — This study examines how Diamond Head Drill (DHD) communication, EASIER leadership, and incentives influence hospital performance and, in turn, how performance affects the competitiveness of public regional general hospitals (RSUD) in West Java, with performance tested as a mediating mechanism. Research method— A quantitative, cross-sectional survey design was applied and analyzed using AMOS-based Structural Equation Modeling (SEM). Data were collected from 397 medical, non-medical, and managerial staff across ten RSUD in West Java Province. Result— DHD communication, EASIER leadership, and incentives each showed positive and significant effects on hospital performance (β = 0.516; 0.273; 0.494; p < 0.05). Performance had a strong and significant effect on competitiveness (β = 0.436; p < 0.001). DHD communication also had a significant direct effect on competitiveness (β = 0.546; p < 0.001), whereas the direct effects of EASIER leadership and incentives on competitiveness were positive but not significant (β = 0.095; 0.119; p > 0.05). Mediation testing indicates performance functions as a key mediator, particularly for incentives (indirect effect = 0.215; p < 0.05). Conclusion— Competitiveness improvements in West Java RSUD are primarily achieved through strengthening internal performance. DHD communication contributes both directly to competitiveness and indirectly via performance, while EASIER leadership and incentives enhance competitiveness mainly when they first improve performance outcomes. Practically, RSUD management and local governments should (i) institutionalize DHD communication into clinical and cross-unit SOPs, (ii) invest in adaptive/participative leadership development, and (iii) redesign incentive systems to be transparent and explicitly performance-linked to accelerate service quality, efficiency, and public trust as broader social benefits.
Co-Authors Bambang Sumardi Bambang Sumardi Derriawan